| NPI | 1063524171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE STEINHOFF Treasurer 269-982-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-10-09 |